IBA-JOR-00

Code
IBA-JOR-00
Mercy ID
V-01995-22
Encounter Date
10/08/2006
Last
Ibarra
First
Jorge
DOB
09/04/2000
County
Dekalb
Street
3700 Buford Hwy
City
Atlanta
State
GA
Zip
30329-
Home
(404) 321-6126
Family Status
Child/Youth
COB
Mexico
Gender
Male Child
Housing
Not Homeless
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother Lourdes Prudente 03/16/1978 N/A
Father Jaime Ibarra 10/05/1975 N/A
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
N/A
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

NO DOY PERMISO
Authoritation Parent
No
Authoritation Child
No
DOY PERMISO
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
G. Landeros
Data Entry
J. Manzo